Individual
TAYLER JASMINE CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
(951) 689-5771
Mailing address
511 S GLENN ALAN AVE, WEST COVINA, CA 91791-2741
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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